Since 1927 we’ve been partnering with clients to help them manage risk. Through our focus on personalized advice and management, and our dedication to the highest standards of training, performance and professionalism, we’ve become the largest privately owned independent insurance agency in North Carolina.

Wednesday, February 1, 2012

Blue Cross and Blue Shield of North Carolina (BCBSNC) is expanding its utilization management programs for members with pharmacy benefits with us effective March 1, 2012. These programs include prior review and restricted access programs. (Restricted access means members must try a preferred drug before they can receive coverage for a non-preferred drug.)

Changes Affecting ALL users of certain drugs:

Prior review will be required for:

Egrifta®(Tesamorelin)– used to reduce excess abdominal fat in HIV-infected patients with lipodystrophy

Growth hormones, which will continue to require prior review, will now also be added to the restricted access list

Omnitrope® is the preferred drug and must be tried before any other drug is approved. The following drugs are non-preferred: Genotropin®, Humatrope®, HumatroPen®, Norditropin Nordiflex®, Norditropin Flexpro®, Nutropin®, Nutropin AQ®, Nutropin AQ Nuspin®, Saizen®, Serostim®, Tev-Tropin® and Zorbitive®.

Changes Affecting NEW users of certain drugs:

Renin inhibitors will be added to the restricted access list for new users only. Members must first try a preferred drug before the non-preferred drugs will be approved:

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Senn Dunn Insurance

Since 1927 we’ve been partnering with clients to help them manage risk. Through our focus on personalized advice and management, and our dedication to the highest standards of training, performance and professionalism, we’ve become the largest independent insurance agency in North Carolina.